Laserfiche WebLink
<br />FROM :'.1<EEU I LD I NG TOGETHER <br />I . "'-"'-'-. <br />~CORD <br /> <br /> <br />I Pf>OOIJeeR Noack & Dean IlnteTWesl <br />401 Watt Avenue <br />Sacramento, CA 95864 <br /> <br />Employers Resource <br />160 Chesterfield Drive <br />Cardiff by tho Sea, CA 92007 <br /> <br />...,. 23 2002 09: SiAM PS <br /> <br />CERTIFICATE OF LIABILITY INSURANCE ~~~ DAT~~:>2DiYY) <br /> <br />... _._. 11' IS CERTiFicATE IS IssueD AS A MATrER elf INFORMA:T10N <br />ON~ Y AND CONFERS NO RIGHTs UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED I3Y THE POLICIES BELOW. <br /> <br />f~~ja~Y . Sla;::::;::a;;;~::r::;V::;f--' . -:-1 <br /> <br />Company ---i <br />-~- -I <br />~:, ------.. -=- .-- --- --~~1 <br /> <br />'....... <br /> <br />FAX NO. :667 8174 <br /> <br />J <br /> <br />r INSURFD <br /> <br />COVERAGES <br /> <br />THIS IS TO CIiRTlFY THAT THf pOLlcms OF INSUR.-\NC"F./JSTED aaow JIA.VE BEF.N ISSUED 1'0 THE rN..WR.'ED NAMED AnOVE; FOR 'J"H!i POLICY PEJUOD I <br />INIJJCA'l'nt>, NOrWrniST^ND[NG ANY RcQlllP.EME...~1"5, i'ER...\.f OR CONDITION Of !\NY CONTRACr OR OTHER DOC:OMcNT \\11TH RFSPJ..:CT TO WHICH nns . <br />CERTIFICATE MAYBE JSSUEJ) OR M ^ Y PERTAlN. TI-tE WSURAN(:i-; AFFORDED BY THF. P<)I,.rcIES DESCJUzu:[) HEREIN IS SllllJ r::cr TO ALL TKE TERMS, <br />~' '1 :-XCWSIONS AND COND!! LUNS (}f' SUCH POuC"H::$, LIM:JTS Sl.K)\V'N MA Y R~ VE 8.!:.J:!N _RfiQUC'ED BY PAID CLAIMS _ ___ -.J <br />CO ' , I POL.ICY EFFECTIVf I POLICY EXPIRATION I j <br />LT I TYP~OFINSURAlolCri I POUCYNtJM8=ft ' DATE (MMJODiY'Y) rOA...(.....,DlVYI U"T\. _ .... <br />l.!:Nl!RAL. UABJUTV : - I. ~ i GENERAl AGGREGATE _ _ ~_ <br />IICOUUERCIALGENE~lABILITY i ! 1_~ou.?r3.cOMf'IOPA~G s ~ <br />r .J ClAIMS W,CE ! J OCCu~" I . PERSONAl & ~.~v ":JURY S <br />nH OWNER'S &CONmACTOR'S PROT [. I ~CURANC' , _ ..... .' <br />Ii; -.- ~_ I . FrRE:.~MAGe(Anyonefire~ S <br />rL-8, AtITOMoel~I!UABIU~- .! --- "FOexP(~"",p'''''''J j... I <br />1 i COMDfNEO SJNCLE LlMIT $ I <br />! r I ANY~VTO I <br />I I J AlL AUTO I -.;OIlYl';:;;;;'~." I <br />' ~. SCHECULEOAllTOS I I (per"Cf"AIO) $ -' <br />I j HIRED AUTOS 8OO11Y INJURY , -..----1 <br />: 1 NON-oW~eOAUTOS I (r"er aecideni) <br />, I i _ .....________1 <br /> <br />-r.L=~_n- j ~. c::::;__ j;: . ~ <br /> <br />; JA'lYAllTO U",) AS fa ! ORM IO'H"RTHANALITOONlY .1.... <br /> <br />A 1ff~~ 1- ::~+-. -~-.-~.~--.1 <br />C EXICu::::~: I /":I;;yS~i~. YA torney I [:~::~:^"ce --- ~___ "_; <br /> <br />j OTHERTHANUM8RE1...LAFORM I _1--____.. . I <br /> <br />i ~ORKiR6 .COMPENSATION AN~'--- --- no I ;'""1 we STATU-rroTIZi- <br />; EMPLOYERS' L1ABllITY 1:- ,T.:Oi:IV I JUITC:: LJ ~ER. I <br /> <br />1604493-02 11/11/2002 I 11I11/20Q3 I HeACHACClDeNT $1,000,000 _---.J <br /> <br />~l OIStASE - POLlCV LIMIT $1,000.000 <br /> <br /> <br />_J~ I "'"^'":~' ,,== <br /> <br />A <br /> <br />I THE PROPRIETQRf n INCl <br />PAJrrNB'.SIEXECu fiVE ' _' <br />1 OFFICERS A~: TI EXCL <br />rTHE~" - --- <br /> <br />-1--.. _"_ .... ._.__. _,____.. <br />DESCRIPTION Of' OPl!:RATIO~SNEHICLESrSrp:;(:JA.I_ ITEMS <br /> <br />i <br />I <br />i <br />__-1__ <br /> <br />CUENT: ReBUILDING TOGETHER ORANGE COUNTY LicclI,e No.: N/A <br /> <br />O~LY EMPJ.OYEES OF r.M)lILOYER..~ RF;.SOVR('E AS I.O~G AS THEY ARF. PEltfOK.."1.I;'-iG WORK WlTliJ/\ '["HE NA TI;RF: AND SCOPE OJ.' THEIR <br />CMPLOYMENT ARE INSt:RW IT'WER "VIDE'iCE 01' COVERAGE PROVIIlEO. <br /> <br />:ERTIFICATE HOLDER <br /> <br />EVIDENCE OF INSURANCF: <br />FOl+ \!e..ifi~a.ti6n of <covc.-at;c <br />can (888) 559-2350 <br /> <br />CANCELLATION <br /> <br />*10 d.)'I ror 1l.0U-pll)'lD!!nl Dfp.....mlU"" <br /> <br />'il SHOULD AtN OF THE ABOVE. DE::;;CRICI2D PCUCIES BE CANCELLeD BliiiO~E: THE <br />EXPIRATION OA't'!: THEREOF. THE ISSUING COMPANY W1U, ENDEAVOR TO MAIL <br />I SO' DAYS WRmeN NOTICE '1'0 THE CERTIFICATE HOLOER NAME '1'0 THE <br />J LEFT,BUT FAllU~E TO MAIL SUCH NOTICE Sl1ALL IMPOSE NO 08UGATlON OR <br />LIARlllTV OF ANY KIND UPOO THE COMPANY. ITS AGENTS OR REPRESENTATNliS. <br /> <br />AUTHOAlZao REPRESENTATIVE: <br />\Villiam O'Keefe <br /> <br />~~ <br /> <br />CORD 25-S (liSS) <br /> <br />A('.o1=:'1) ~FaORATION 1088 <br />